Cystoprostatectomy
Thanks so much for your response!!
The bladder and prostate come to the lab in one container. They are grossed in separately and my pathologist's read them separately. See below.
Urinary bladder and prostate, radical cystoprostatectomy:
- Tumor Type Bladder: Residual non-invasive urothelial carcinoma
- Bladder Histologic Type: Predominantly carcinoma in situ with areas of flat carcinoma and focal papillary carcinoma (all foci are noninvasive)
- Bladder Histologic Grade: High grade.
- Bladder Tumor Site: Right bladder neck, right trigone, posterior wall, right lateral wall and anterior right wall. The only focus of papillary carcinoma is present in the anterior right wall. All area show extensive ulceration.
- Tumor Size: Approximately 5.5 cm, but exact dimensions are indeterminant.
- Tumor Configuration: Ulcerated with extensive residual carcinoma in situ, flat carcinoma and focal papillary carcinoma.
- Associated Epithelial Lesions: None.
- Microscopic Tumor Extension: No residual invasion is seen.
- Margins:
Ureteral margins: Final ureteral margins are uninvolved by carcinoma.
Distal urethral margin: Uninvolved.
Deep soft tissue margin: Uninvolved.
- Distance from closest margin: Tumor is at least 1.0 cm from the radial soft tissue margin.
- Lymphovascular Invasion: Not identified.
- Regional lymph node sampling: Pelvic.
Number of Lymph Nodes Examined: 15.
Number of Lymph Nodes Involved: 0.
- Distant Metastasis: Cannot be assessed.
- AJCC Pathologic Staging (7th edition, pTNM): ypTis ypN0
- Additional Findings: Extensive ulceration with giant cell reaction and marked chronic cystitis.
- Prostate Tumor Histologic Type: Prostatic adenocarcinoma, acinar type.
- Histologic Grade
![Frown :( :(](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Total Gleason score):
(Primary pattern): 3.
(Secondary pattern): 4 (20%).
- Grade group:#2 (See comment)
- Tumor Quantitation:
Percent of prostate involved by tumor: 10%.
Size of dominant nodule: 2.5 cm in the mid left and right anterior lobe.
- Extent of invasion: Invasive carcinoma is seen extending from the left and right inferior anterior lobes up to the midportion of the left and right anterior lobes.
- Margins: Focal involvement along a length of 0.5 cm is present on the anterior surface of the mid left and right anterior lobe.
Apical: Uninvolved, Bladder Neck: Uninvolved, Anterior: Involved as indicated above, Lateral: Uninvolved, Posterolateral uninvolved, Posterior: Uninvolved.
- Extra prostatic extension: Not identified.
- Urinary bladder neck invasion: Uninvolved.
- Seminal vesicle invasion: Uninvolved.
- Perineural invasion: Not identified.
- Lymphovascular Invasion: Not identified.
- Regional lymph node sampling: Pelvic (see pelvic lymph nodes above).
- Treatment Effect: No known presurgical therapy.
- AJCC Pathologic Staging (7th edition, pTNM): pT2c.